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PROVIDENCE ASSISTED LIVING SOLUTIONS
NPI 1114613213
Assisted Living Facility in Fulshear, TX

Active since April 12, 2023
4822 CREEKBEND DR, FULSHEAR, TX 77441(713) 568-6512 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2023, Apr 12, 2023 (2 updates tracked since 2023).

About Providence Assisted Living Solutions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE ASSISTED LIVING SOLUTIONS (NPI 1114613213) is a healthcare organization registered as an assisted living facility in Fulshear, Texas and active in the NPI registry since April 2023. The organization lists Jude Tomdio, Member, as its authorized official.

NPPES Registry Identity

NPI1114613213
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePROVIDENCE ASSISTED LIVING SOLUTIONS
Location Address4822 CREEKBEND DRFulshear, TX 77441-2336
Mailing Address6619 Providence River LnKaty, TX 77493-3620 · (713) 568-6512
Phone(713) 568-6512
Organization SubpartNo
Authorized OfficialJude TomdioMember · (713) 568-6512
Enumeration DateApril 12, 2023
Last NPPES UpdateJune 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1114613213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4822 CREEKBEND DR, Fulshear, TX 77441
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Assisted Living Solutions's NPI number?

The NPI number for Providence Assisted Living Solutions is 1114613213. It was assigned to this organization in the NPPES registry on April 12, 2023.

Where is Providence Assisted Living Solutions located?

Providence Assisted Living Solutions is located at 4822 Creekbend Dr, Fulshear, TX 77441. The listed phone number is (713) 568-6512.

What is Providence Assisted Living Solutions's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Providence Assisted Living Solutions was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.